Evidence map›Paper›PMID 20428369›Full record

ArticleBulletin of the World Health Organization2010

Cardiovascular risk factor trends and potential for reducing coronary heart disease mortality in the United States of America.

Simon Capewell, Earl S Ford, Janet B Croft, Julia A Critchley, Kurt J Greenlund, Darwin R Labarthe

Open access · diamondAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Ganoderma lucidum mushroom for the treatment of cardiovascular risk factors.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. The Nutritional Significance ofFood science & nutrition · 2025
    Review
  10. Article
  11. Article
  12. Therapeutic Potential ofPharmaceuticals (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Review
  15. Eicosanoids: Atherosclerosis and cardiometabolic health.Journal of clinical & translational endocrinology · 2020
    Review
  16. Article
  17. Review
  18. Biochemical Activity and Hypoglycemic Effects ofBioMed research international · 2018
    Article
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Simon CapewellDivision of Public Health, University of Liverpool, Liverpool, L69 3GB, England. capewell@liverpool.ac.uk
Earl S Ford
Janet B Croft
Julia A Critchley
Kurt J Greenlund
Darwin R Labarthe
Centers for Disease Control and Prevention · USNewcastle University · GBUniversity of Liverpool · GB

Funding

Medical Research Council G0500920Medical Research Council G0900847
6 · The paper itself

Abstract

objectiveTo examine the potential for reducing cardiovascular risk factors in the United States of America enough to cause age-adjusted coronary heart disease (CHD) mortality rates to drop by 20% (from 2000 baseline figures) by 2010, as targeted under the Healthy People 2010 initiative.

methodsUsing a previously validated, comprehensive CHD mortality model known as IMPACT that integrates trends in all the major cardiovascular risk factors, stratified by age and sex, we calculated how much CHD mortality would drop between 2000 and 2010 in the projected population of the United States aged 25-84 years (198 million). We did this for three assumed scenarios: (i) if recent risk factor trends were to continue to 2010; (ii) success in reaching all the Healthy People 2010 risk factor targets, and (iii) further drops in risk factors, to the levels already seen in the low-risk stratum.

findingsIf age-adjusted CHD mortality rates observed in 2000 remained unchanged, some 388,000 CHD deaths would occur in 2010. First scenario: if recent risk factor trends continued to 2010, there would be approximately 19,000 fewer deaths than in 2000. Although improved total cholesterol, lowered blood pressure in men, decreased smoking and increased physical activity would account for some 51,000 fewer deaths, these would be offset by approximately 32,000 additional deaths from adverse trends in obesity and diabetes and in blood pressure in women. Second scenario: If Healthy People 2010 cardiovascular risk factor targets were reached, approximately 188,000 CHD deaths would be prevented. Scenario three: If the cardiovascular risk levels of the low-risk stratum were reached, approximately 372,000 CHD deaths would be prevented.

conclusionAchievement of the Healthy People 2010 cardiovascular risk factor targets would almost halve the predicted CHD death rates. Additional reductions in major risk factors could prevent or postpone substantially more deaths from CHD.

Indexed as

Health BehaviorAdultAgedAged, 80 and overAge DistributionBlood PressureBody Mass IndexCardiovascular DiseasesCholesterolDiabetes ComplicationsExerciseFemaleHealthy People ProgramsHumansMaleMiddle AgedCholesterol

Identifiers

PMID20428369
PMCPMC2814476
OpenAlexW2153690595

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.